Provider Type Icon

DR. MAHINDOKHT MARY RAISZADEH M.D. NPI 1194898064


NPI Information

NPI: 1194898064
Provider Name: DR. MAHINDOKHT MARY RAISZADEH, M.D.
Classification: Legal Medicine - 173000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5222 BALBOA AVE
STE 45
SAN DIEGO, CA
ZIP 92117
Phone: (858) 616-6430
Get Directions

DR. Mahindokht Mary Raiszadeh, M.D. is a legal medicine in San Diego, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. DR. Mahindokht Mary Raiszadeh, M.D. NPI is 1194898064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5222 BALBOA AVE
STE 45
SAN DIEGO, CA
ZIP 92117-904
Phone: (858) 616-6430

The NPI 1194898064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 11/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineA34656CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A34656MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALICENSE
200A346561MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.